Alcohol Intake Among Breast Cancer Survivors: Change in Alcohol Use During a Weight Management Intervention

Tera L Fazzino, Kimberly Fleming, Christie Befort, Tera L Fazzino, Kimberly Fleming, Christie Befort

Abstract

Background: Daily alcohol intake in quantities as small as half a drink/day significantly increases the risk of breast cancer recurrence for postmenopausal survivors. Interventions designed to modify alcohol use among survivors have not been studied; however, lifestyle interventions that target change in dietary intake may affect alcohol intake.

Objective: To evaluate change in alcohol use during a weight loss intervention for obese, rural-dwelling breast cancer survivors.

Methods: Data were derived from an 18-month trial that included a 6-month weight loss intervention delivered via group conference calls, followed by a 12-month randomized weight loss maintenance phase in which participants received continued group calls or mailed newsletters. Participants who reported regular alcohol use at baseline (N=37) were included in this study.

Results: Mean daily alcohol intake significantly decreased from baseline to 6 months during the weight loss intervention (19.6-2.3 g; P=.001). Mean alcohol intake did not significantly increase (b=0.99, P=.12) during the weight loss maintenance phase (months 6-18) and did not depend on randomization group (b=0.32, P=.799).

Conclusions: Findings provide preliminary evidence that a weight loss intervention may address obesity and alcohol use risk factors for cancer recurrence. Minimal mail-based contact post weight loss can maintain alcohol use reductions through 18 months, suggesting durability in these effects. These results highlight a possibility that lifestyle interventions for survivors may modify health behaviors that are not the main foci of an intervention but that coincide with intervention goals.

Trial registration: Clinicaltrials.gov NCT01441011; https://ichgcp.net/clinical-trials-registry/NCT01441011 (Archived by WebCite at http://www.webcitation.org/6lsJ9dMa9).

Keywords: alcohol drinking; breast cancer; obesity; weight loss; weight reduction programs.

Conflict of interest statement

Conflicts of Interest: None declared.

©Tera L Fazzino, Kimberly Fleming, Christie Befort. Originally published in JMIR Cancer (http://cancer.jmir.org), 09.11.2016.

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Source: PubMed

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